Identify the social drivers of health in the communities you serve
Use downloadable vulnerability data to understand social drivers of health – and the obstacles to care – at the census-tract and ZIP-code level across the United States.
Why Vizient Vulnerability Index?
The patented Vizient Vulnerability Index (VVI) gives healthcare organizations a quantitative, neighborhood-level picture of the social drivers of vulnerabilities shaping their communities. The publicly available, downloadable file aggregates 43 social determinants of health (SDOH) data points across nine domains — at the census-tract and ZIP-code level across the United States — calculated as standard deviations from the national mean.
What VVI provides
Neighborhood-level vulnerability data with local relevance.
Domains of social needs
Economic, education, healthcare access, neighborhood resources, housing, clean environment, social environment, transportation, and public safety.
Social determinants of health data points
Aggregated from public and institutional sources including the U.S. Census, EPA, HUD, USDA, and community-condition datasets.
Score indicates high vulnerability
Any score more than one standard deviation above the national mean signals an area where social needs and barriers to care are more acute.
Neighborhood focused
Pinpoint where to concentrate resources and interventions
Broad regional data masks variation that matters most. The Vizient Vulnerability Index works at the census-tract and ZIP-code level — so organizations can identify exactly where social needs and obstacles to care are creating the greatest barriers to health within their communities, not just across them. What drives vulnerability in one neighborhood may be entirely different two zip-codes away.
Flexible weighting
Plan with data that reflects your community, not a national average
Most social-needs indices apply a single national algorithm to every community in the country. The Vizient Vulnerability Index takes a different approach - adapting domain weighting by geography so the factors most relevant to life expectancy can vary from place to place.
Broader social context
Connect social needs to the clinical outcomes
The Vizient Vulnerability Index goes beyond income and poverty to capture the full range of social conditions that shape health outcomes. By combining nine domains - including healthcare access, clean environment, and public safety alongside economic and housing factors - it provides a richer, more complete picture of community need than indices that treat social vulnerability as a single dimension.
Decisions the public-access files enable
Use the Index to inform population health, community planning and social-needs strategy with more neighborhood-level specificity.
Use census-tract and ZIP-code level data to identify where vulnerability is highest and where support or intervention may need to be concentrated — so resources go where they're needed most, not where they're easiest to deploy.
See how vulnerability changes dramatically from neighborhood to neighborhood within the same broader region, so community planning and population health strategies reflect local conditions more accurately than regional averages allow.
The index incorporates 43 data points from multiple external sources — including the U.S. Census, EPA, HUD, and USDA — so organizations can work from a broader, richer view of social need and access barriers without having to wrangle disparate datasets themselves.
Use the vulnerability file as a foundational input into community health, access, and social-needs decision-making — informing everything from care delivery strategy to community partnerships and benefit planning where local context matters.
Why Vizient
A more actionable view of community need
Neighborhood granularity
Work at the census-tract and ZIP-code level rather than relying only on broad regional averages that mask local variation.
Local weighting
A model that adapts by geography so the most relevant factors can differ from place to place - unlike indices that apply a single national formula.
Nine vulnerability domains
Evaluate multiple dimensions of social need, recognizing that vulnerability extends beyond a single static score driven only by poverty.
Broad external data inputs
43 data points drawn from public and institutional sources create a richer, more complete picture of obstacles to care.
Publicly available
Download the file directly - no membership required - to support your own analysis, planning, and population-health work.
Population-health relevance
Structured to help organizations think clearly about social drivers of health and the local conditions shaping community trends, patient outcomes and utilization.
Get neighborhood-level insights
2026 Vizient Vulnerability Index data file
The downloadable file provides neighborhood-level vulnerability information to support social drivers of health work and local planning.
Resource center
Explore methodology and supporting data context
Get additional insights and intelligence to support your community.
Connect with our team
Take the next step
If your organization is working on social drivers of health, community planning or population-health strategy, we can help you understand where the Vizient Vulnerability Index may fit.
Frequently asked questions
Common questions about the Vizient Vulnerability Index.
The file includes the overall vulnerability index plus nine domains of social need for each census tract and ZIP code across the United States.
Any score greater than 1 is considered an area of high vulnerability, meaning the neighborhood experiences obstacles to care more than one standard deviation above the national mean.
The Vizient Vulnerability Index adapts its domain weighting by geography so the factors most relevant to life expectancy varies by location. Other indices apply a single national formula and don’t include domains like healthcare access, clean environment, or public safety.
The index draws from 43 data points across multiple public sources including the U.S. Census American Community Survey, EPA, HUD, USDA, crime data, public health datasets, and provider-shortage information.
The file is publicly available – no Vizient membership is required. Any healthcare organization, researcher, or community planning team can download it directly to support their work.
The VVI can support a wide range of planning and analysis efforts where neighborhood-level vulnerability data is useful, including social drivers of health strategy, community health planning, access initiatives, population health work, partnership planning and broader local vulnerability analysis.
When paired with Vizient’s Clinical Data Base, organizations can correlate neighborhood vulnerability scores with patient outcomes data – gaining a deeper understanding of how social conditions uniquely impact the communities they serve.
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